Benchmark Medication Error Rate
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for benchmarking. Yet, we must question the wisdom of applying the benchmarking concept to the medication use process when the focus is on error rates. The true benchmark data for medication errors incidence of medication errors varies, depending heavily on the rigor with which national medication error rate the events are identified and reported.. Certainly, the confusion surrounding the term "benchmarking"perpetuates the myth that one can gauge
Medication Error Rate Calculation
the quality and safety of the medication use process simply by comparing error rates, both within an organization and externally. Benchmarking is an ongoing process that determines how other organizations have
Hospital Medication Error Rate
achieved the best performance and suggests ways for adapting the best practices that result in this exceptional performance. Although measurement is one of its components, effective benchmarking is a dual process that requires two products: benchmarks and enablers.1 Benchmarks are measures of comparative performance that answer the question: "What is your level of performance?" Alone, this information has little use in improving performance. medication error rates in nursing homes Benchmarking must also provide a systematic method of understanding the underlying processes that determine organizational performance. To that end, enablers must be identified. Enablers are the specific practices that lead to exemplary performance and answer the question: "How do you do it?" Overlooking either one of these components in the benchmarking process renders it useless, even dangerous! Currently, there is no consistent process among healthcare organizations for detecting and reporting errors. Since many medication errors cause no harm to patients, they remain undetected or unreported. Still, organizations frequently depend on spontaneous voluntary error reports alone to determine a medication error rate. The inherent variability of determining an error rate in this way invalidates the measurement, or benchmark. A high error rate may suggest either unsafe medication practices or an organizational culture that promotes error reporting. Conversely, a low error rate may suggest either successful error prevention strategies or a punitive culture that inhibits error reporting. Also, the definition of a medication error may not be consistent among organizations or even between individual practitioners in the same organization. Thus, spontaneous error reporting is a poor method of gath
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Medication Error Statistics
PassKey Advisory Library Patient and Consumer Tips Press Releases national average medication error rate Healthcare-Associated Infections Brochures Related Organization Links The Authority in the News Driving Change Patient Safety medication error statistics 2015 Tools Calendar Public Meetings ADDRESS: Patient Safety Authority 333 Market Street Lobby Level Harrisburg, PA 17120 Phone: 717-346-0469 Fax: 717-346-1090 SearchAdvanced Search Understanding http://www.ismp.org/newsletters/acutecare/articles/19980909.asp the Benchmarking Process PA PSRS Patient Saf Advis 2004 Dec;1(4):19. _______________This article is excerpted from the book Medication Errors by Michael Cohen, RPh, MS, ScD. Dr. Cohen is President of the Institute for Safe Medication Practices (ISMP) and serves as an expert advisor to PA-PSRS in the http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2004/dec1(4)/Pages/19.aspx area of medication safety._______________Benchmarking is an ongoing process that determines how other organizations have achieved optimal performance. Through the process of benchmarking, ways are suggested for adapting the best practices that result in exception performance. Although measurement is one of its components, effective benchmarking is a dual process that requires two products: performance measurement and enablers.Benchmarks are measures of comparative performance that answer the question: What is your level of performance? By itself, this information has little use in improving performance. To be effective, benchmarking must also provide a systematic method of understanding the underlying process that determines an organization’s performance. To that end, enablers must be identified. Enablers are the specific practices that lead to exemplary performance; they answer the question: How do you do it? Overlooking either one of these components in the benchmarking process renders it useless, even dange
to download it as a free PDF. Contents Chapter Page of 464 Original Pages Text Pages Get This Book « Previous: Appendix https://www.nap.edu/read/11623/chapter/15 B Glossary of Terms and Acronyms Page 367 Share Cite Suggested Citation: "Appendix C Medication Errors: Incidence Rates ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The National Academies Press, 2007. doi:10.17226/11623. × Save Cancel C Medication Errors: Incidence Rates This appendix reviews estimates of the rates of medication errors and adverse drug medication error events (ADEs) in three care settings (hospital, nursing home, and ambulatory care) and in pediatric and psychiatric care. Where possible, error rates for the five stages of the medication-use system and at the interface between care settings are documented separately. INCIDENCE OF MEDICATION ERRORS IN HOSPITAL CARE Selection and Procurement of the Drug by the Pharmacy No studies medication error rate were identified that specifically identified medication errors of this type. It is possible that these types of errors were included in studies of general medication error rates. Prescription and Selection of the Drug for the Patient: Errors of Commission Rates of prescribing errors (for example, dosing errors, prescribing medications to which the patient was allergic, prescribing inappropriate dosage forms) vary considerably from study to study and are quoted in several different ways—errors per 1,000 admissions, errors per 1,000 orders, errors per 100 opportunities for error, and preventable ADEs per 1,000 admissions (see Table C-1): Page 368 Share Cite Suggested Citation: "Appendix C Medication Errors: Incidence Rates ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The National Academies Press, 2007. doi:10.17226/11623. × Save Cancel TABLE C-1 Hospital Care: Prescription and Selection Errors of Commission Error rates Per 1,000 admissions—detection method 12.3 (Lesar, 2002a)—pharmacist review of written orders 29 (Winterstein et al., 2004)—prompted reporting 52.9 (Lesar et al., 1997)—pharmacist review of written orders 190 (LaPointe and Jollis, 2003)
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